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基于基尼系数和集聚度的中国中医医院卫生资源配置公平性研究:2009-2018 年。

Research on the equity of health resource allocation in TCM hospitals in China based on the Gini coefficient and agglomeration degree: 2009-2018.

机构信息

Institute of Medical Information, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100020, China.

School of Management, Beijing University of Chinese Medicine, Beijing, 100029, China.

出版信息

Int J Equity Health. 2022 Oct 6;21(1):145. doi: 10.1186/s12939-022-01749-7.

DOI:10.1186/s12939-022-01749-7
PMID:36199086
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9534739/
Abstract

BACKGROUND

The demographical and geographical distributions of health resources are important aspects of healthcare access. Few studies have been published on health resource allocation in TCM hospitals in China despite public equity concerns.

METHODS

This article uses the Gini coefficient and agglomeration degree to analyze the health resources of TCM hospitals in China according to demographic and geographic configuration conditions in order to study the equity of the health resources of TCM from 2009 to 2018.

RESULTS

From 2009 to 2018, all regions of the TCM health resources per ten thousand people and per ten thousand square kilometers showed overall upward trends. The overall equity of the health resource allocations of TCM hospitals in China tended to improve year by year. However, there were still great differences among regions. Generally, the equity of physical resource allocation was better than the equity of human resource allocation. Additionally, the equity of health resources in TCM hospitals allocated by population was better than it was by geographic region.

CONCLUSIONS

It is necessary to further optimize the structure of TCM resource allocation, and enhance the equity of resource allocation among different regions.

摘要

背景

卫生资源的人口和地理分布是医疗可及性的重要方面。尽管存在公众公平性问题,但关于中国中医医院卫生资源配置的研究很少。

方法

本文根据人口和地理配置条件,运用基尼系数和集聚度分析了中国中医医院的卫生资源,以研究 2009 年至 2018 年中医卫生资源的公平性。

结果

2009 年至 2018 年,每万人和每万平方公里的中医卫生资源均呈整体上升趋势。中国中医医院卫生资源配置的总体公平性逐年提高。然而,地区之间仍存在很大差异。一般来说,物质资源配置的公平性优于人力资源配置的公平性。此外,中医医院按人口配置的卫生资源公平性优于按地理区域配置的卫生资源公平性。

结论

有必要进一步优化中医资源配置结构,增强不同地区资源配置的公平性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29c1/9535977/efa6c7e9db1f/12939_2022_1749_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29c1/9535977/d9f27ef7a46a/12939_2022_1749_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29c1/9535977/bfdc0a5b0b8d/12939_2022_1749_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29c1/9535977/18085eeea978/12939_2022_1749_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29c1/9535977/e2bbc631550d/12939_2022_1749_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29c1/9535977/efa6c7e9db1f/12939_2022_1749_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29c1/9535977/d9f27ef7a46a/12939_2022_1749_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29c1/9535977/bfdc0a5b0b8d/12939_2022_1749_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29c1/9535977/18085eeea978/12939_2022_1749_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29c1/9535977/e2bbc631550d/12939_2022_1749_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29c1/9535977/efa6c7e9db1f/12939_2022_1749_Fig5_HTML.jpg

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